The Relationship of Early Complementary Feeding (CF) with Nutritional Status to Children Aged 6-24 Months towards Family Farmers

Lutfian Lutfian, Peni Perdani Juliningrum, Dini Kurniawati

Abstract


ABSTRACT

Introduction. Complementary feeding (CF) practices have an essential role in determining the nutritional status of children. Children who are given early complementary feeding (ECF) are at risk of malnutrition. Besides, children with family farmers tend to have wasting or overweight because they cannot provide food in a variety, quantity, and quality according to the nutritional needs of their children. Objectives: This study aimed to determine the relationship of ECF with nutritional status in children 6-24 months towards family farmers. Methods. This correlational study was conducted using a cross-sectional approach. Samples were 75 children aged 6-24 months selected using purposive sampling. This research was conducted at Geger Health Center Bangkalan Regency. Data collection was done by giving questionnaires to children parents. Children's weight-for-height z-score (WHZ) were calculated using WHO Anthro version application 3.2.2. The chi-square test analyzed the association between CF and nutritional status. Result. The results of the study showed that the nutritional status of 75 children was normal (72%), overweight (25,3%), and wasted (2,7%). Most mothers have been given ECF since infants aged two months (29,3%) and 0 months (13%), which caused 36,4% of children to become overweight. Bivariate analysis showed a significant relationship between CF with nutritional status to children aged 6-24 months towards family farmers (p-value=0,033). Discussion. ECF caused children aged 6-24 months to become overweight. Therefore, it is hoped that health workers will always give health education to increase mothers' knowledge about exclusive breastfeeding to support the nutritional status of children aged 6-24 months towards family farmers.

 

ABSTRAK

Pendahuluan. Praktik pemberian makanan pendamping ASI (MP-ASI) memiliki peranan yang penting dalam menentukan status gizi anak usia 6-24 bulan. Anak yang diberikan MP-ASI dini memiliki risiko tinggi untuk mengalami malnutrisi. Disamping itu, anak dengan keluarga petani cenderung mengalami status gizi buruk atau lebih, karena mereka tidak diberikan makanan dengan variasi, kuantitas, dan kualitas yang sesuai dengan kebutuhan anak mereka. Tujuan.  Tujuan penelitian ini menganalisis hubungan pemberian MP-ASI dini dengan status gizi anak usia 6-24 bulan pada keluarga petani. Metode. Penelitian ini menggunakan desain penelitian korelational dengan pendekatan cross-sectional. Jumlah sampel dalam penelitian ini adalah 75 anak usia 6-24 bulan yang diseleksi menggunakan metode purposive sampling. Peneliti melakukan penelitian di wilayah kerja Puskesmas Geger Kabupaten Bangkalan. Data dikumpulkan menggunakan kuisioner untuk mengetahui karakteristik responden dan riwayat pemberian MP-ASI. Indikator berat badan menurut Panjang badan (BB/PB) di hitung menggunakan aplikasi WHO Anthro versi 3.2.2. Untuk menganalisis hubungan pemberian MP-ASI dengan status gizi peneliti menggunakan uji chi-square. Hasil. Hasil penelitian ini menunjukkan bahwa 72% dari 75 anak memiliki status gizi normal, 25,3% status gizi lebih, dan 2,7% status gizi kurang. Kebanyakan ibu telah memberikan MP-ASI dini sejak bayi berusia 2 bulan (29,3%) dan 0 bulan (13%) dan hal ini menyebabkan 36,4% anak mengalami status gizi lebih. Analisis bivariat menunjukkan hubungan yang signifikan antara pemberian MP-ASI dengan status gizi anak usia 6-24 bulan pada keluarga petani (p-value=0,033). Diskusi. Pemberian MP-ASI dini menyebabkan anak  usia 6-24 bulan mengalami kejadian gizi lebih. Oleh karena itu, diharapkan agar tenaga kesehatan dapat memberikan promosi Kesehatan untuk meningkatkan pengetahuan tentang pemberian ASI ekslusif untuk mendukung status gizi anak usia 6-24 tahun pada keluarga petani.


Keywords


Complementary Feeding; Family Farmers; Nutritional Status

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References


Anggraeni, E. M., Herawati, D. M. D., Rusmil, V. K., & Hafsah, T. (2020). Perbedaan status gizi bayi usia 6-9 bulan yang diberi MPASI buatan pabrik dan rumah. Jurnal Gizi Klinik Indonesia, 16(3), 106. https://doi.org/10.22146/ijcn.43358

Blaney S, Februhartanty J, S. S. (2015). Feeding Practices among Indonesian Children Above Six Months of Age: A Literature Review on Their Magnitude and Quality (part 1). Asia Pac J Clin Nutr, 24.

Communication and Information Office of Bangkalan Regency (2017). Bangkalan Regional Statistics. Bangkalan: Communication and Information Office of Bangkalan Regency.

Communication and Information Office of Bangkalan Regency. (2018). Compilation and Collection of Regional Statistical Data in Bangkalan Regency 2018.Bangkalan: Communication and Information Office of Bangkalan Regency.

Dinkes Jawa Timur. (2019). East Java Provence Health Profil 2018. East Java Health Office. Surabaya: East Java Health Provence Office.

Dev, M.,Shaikh, S., Rehana, S., Shabdum, I., Adil, I, M. 2013. Knowledge of Complementary Feeding of Mothers having Infants Younger than 2 Years of Aged- A community-Based Study. Pediatr J. 37 (3): 149-155. ISSN 2305-820X.

Doutel, E. J., Picauly, I., & Salmun, J. A. R. (2019). Determinants of Toddler Nutritional Status in Farmers' Families in the Work Area of the Halilulik Health Center in Belu Regency in 2019. Journal of Community Health, 1 (3), 103–110. https://doi.org/10.35508/ljch.v1i3.2175

Haszard JJ, Russell CG, Byrne RA, Taylor RW, C. K. (2019). Early maternal Feeding Practices: Associations with overweight Later in Childhood. Appetite, 132:91-6.

Hegar B. (2017). Kesehatan Saluran Cerna pada Awal Kehidupan untuk Kesehatan pada Masa Mendatang. EJKI, 5(2).

Hermiyanty, Wandira Ayu Bertin, D. S. (2017). 済無No Title No Title. Journal of Chemical Information and Modeling, 8(9), 1–58. https://doi.org/10.1017/CBO9781107415324.004

Ibnu F, I. Syafar M., A. (2018). Supplying Complementary Food (CF) To Children Under 2 Years Mother. LPPM - Surabaya State University.

Illahi, R. K. & Muniroh, L. 2016. Description of Socio-Cultural of Madurese Ethnic to Nutrition and Stunting Incidence of Toddlers Ages 24-59 Months in Bangkalan Regency. Media Gizi Indonesia. 11, 135–143.

Kumala, H. R., & Purnomo, W. (2019). Relationship Between Exclusive Breastfeeding with Development of Toddlers Who Have Low Birth Weight History, 8(2), 33–39.

Laving, A. R., Hussain, S. R. A., & Atieno, D. O. (2018). Overnutrition: Does complementary feeding Play a Role? Annals of Nutrition and Metabolism, 73(suppl 1), 15–18. https://doi.org/10.1159/000490088

Maciel, B. L. L., Moraes, M. L., Soares, A. M., Cruz, I. F. S., Andrade, M. I. R. De, Filho, J. Q., & Junior, F. S. (2018). Infant Feeding Practices and Determinant Variables for Early Complementary Feeding in The First 8 Months of Life : Results from the Brazilian MAL-ED cohort site, 21(13), 2462–2470. https://doi.org/10.1017/S136898001800099X

Ministry of Health Indonesia (2019). Data and Information of Indonesian Health Profil 2018. Jakarta: Ministry of Health Indonesia.

Molika, E. (2014). Variasi Resep Makanan Bayi. Kunci Aksara.

Mubarokah & Munirah. 2020. The Effect of Socio-Culture of Nutrition on Exclusive Breastfeeding of Maduranese in Bangkalan Public Health Center, Madura. Amerta Nutr 239-243.

Nassar, D. (2017). Children's Dietary Guidelines. Jakarta: Faculty of Medicine, University of Indonesia.

Nordang, S., Shoo, T., Holmboe-Ottesen, G., Kinabo, J., & Wandel, M. (2015). Women’s Work in Farming, Child Feeding Practices and Nutritional Status among Under-Five Children in Rural Rukwa, Tanzania. British Journal of Nutrition, 114(10), 1594–1603. https://doi.org/10.1017/S0007114515003116

Nzefa, L., Monebenimp, F., & Äng, C. (2018). Undernutrition among children under five in the Bandja village of Cameroon, Africa. South African Journal of Clinical Nutrition, 1–5.

Pandey, V. L., Mahendra Dev, S., & Jayachandran, U. (2016). Impact of agricultural interventions on the nutritional status in South Asia: A review. Food Policy, 62, 28–40. https://doi.org/10.1016/j.foodpol.2016.05.002

Park, S.J., Lee, H. J. (2017). Exclusive Breastfeeding and Partial Breastfeeding Reduce the Risk of Overweight in Childhood : A Nationwide Longitudinal Study in Korea. Obesity Research and Clinical Practice, 1–7. https://doi.org/10.1016/j.orcp.2018.01.001.

Qanit, S., Bangsawan, C, C. 2020. Early Complementary Feeding Increases the Risk of Obesity in Children. Journal of Nursing Research prof. 2 (1) 91-98.

Riskesdas. (2017). Riset Kesehatan Dasar (Basic Health Research 2017). Jakarta, Indonesia: National health Department.

Safitri, A. M., Pangestuti, D. R., & Aruben, R. (2017). The Relationship of Family Food Security and Consumption Patterns with the Nutritional Status of Toddler Farmers' Families. Kesehatan Masyarakat, 5(3), 120–128.

Sariy, R. B., Simanjuntak, B. Y., & Suryani, D. (2018). Pemberian MP-ASI dini dengan status gizi (PB/U) usia 4-7 bulan di Kecamatan Ratu Samban Kota Bengkulu. AcTion: Aceh Nutrition Journal, 3(2), 103. https://doi.org/10.30867/action.v3i2.95

Schneider, B. C., Gatica-Domínguez, G., Assuncąõ, M. C. F., Matijasevich, A., Barros, A. J. D., Santos, I. S., & Silveira, M. F. (2020). Introduction to Complementary Feeding in The First Year of Life and Risk of Overweight at 24 Months of Age: Changes From 2004 to 2015 Pelotas (Brazil) Birth Cohorts. British Journal of Nutrition, 124(6), 620–630. https://doi.org/10.1017/S0007114520001634

Septikasari, M. (2018). Nutritional Status of Children and Factor Associtaed to Nutritional Status. Yogyakarta: UNY Press.

Sulistiani, T. (2018). Relationship between Giving Early Complementary Feeding (ECF) with Nutritional Status on Children age under Five in Banjerejo. Madiun.

Symon B, Crichton GE, Muhlhausler B. 2017. Does the Early Introduction of Solids Promote Obesity? Singapore Med J. 8(11):626.

Wahyuni, M. E. 2018. Description of Early Breastfeeding Substitutes with Nutritional Status of Children in the Work Area Menu Health Center, Surabaya. University of Airlangga.

Wang J, Wu Y, Xiong G, Chao T, Jin Q, Liu R. (2016). Introduction of Complementary Feeding Before 4 Months of Age Increases The Risk of Childhood Overweight or Obesity: A Meta-Analysis of Prospective Cohort Studies. Nutr Res, 36(8).

Wargiana, R,, Latifa Aini Susumaningrum, I. R. (2013). The Correlation between Giving Early Complimentary Breastfeeding and Level Baby Nutrition 0-6 Months in Work Area of Rowotengah Community Health Center in Jember. Jurnal UNEJ, 1(1).

WHO. 2001. Principles for Complementary Feeding of the Breastfed Child. Washington D.C: American World Health Organization.

Yan J, Liu L, Zhu Y, Huang G, Wang PP. 2014. The Association between Breastfeeding and Childhood Obesity: a Meta-Analysis. BMC Public Health. 14:1267.




DOI: https://doi.org/10.17509/jpki.v7i2.39084

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